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Santa Cruz County Health Services Agency
Health
Benefit Programs


  Contact Information

Questions about Applying for Health Benefit Programs?

Health Care
Access Line
(831) 454-2515
or
(831) 763-8568

Already covered by Medi-Cal and need information?

Benefits Call Center
1-888-421-8080

Frequently Asked Questions from the Benefits Call Center

Customer Service Guide

santa cruz health care outreach logo

There are various financial assistance programs available to assist people who are in need of medical services and cannot afford to pay for them. 
To receive most health benefits you must apply and be certified eligible. Call the contact numbers in the "Where to Apply" section of each program to see if you are eligible. 

Health Care Reform Information

News and Announcements

Community Benefit Resources

  • Santa Cruz County Network of Care Web Site - A comprehensive, Internet-based resource guide for the elderly, people with disabilities, people in need of Behavioral Health services, as well as their caregivers and service providers.

  • Santa Cruz County Human Services Department

  • FirstStep - a resource for case managers and outreach workers that centralizes information on Federal benefits for which homeless people may be eligible

  • Health Insurance Counseling & Advocacy Program (HICAP) - provides free, confidential, unbiased Medicare counseling for the community. Call 831-462-5510 or 831-637-0630

Web Resources and Publications


(Back to the Benefits Index)

--- Access for Infants & Mothers (AIM) ---


What services are offered?

  • Prenatal visits and hospital delivery.

  • Full health care services during pregnancy and 60 days after.

  • Full health care services for the baby born from the AIM-covered pregnancy (for the first 2 years).

Who can be covered?

  • Pregnant women (not more than 30 weeks pregnant at time of application).

  • Baby born from the AIM-covered pregnancy (birth to 2 years old).

  • Persons who are receiving no-cost Medi-Cal benefits are NOT eligible.

Is there income limit?

Verified income must be between 200% and 300% of the Federal Poverty Level (FPL).

 

Is there a property limit? 

No.

 

Can services be received if there is other health insurance?  

Yes, but only if the insurance does not cover maternity care or if there is a separate maternity deductible or co-payment over $500.

 

How much does it cost?

2% of gross family income (current or previous year’s) which can be paid over 12 months, and $100 for the child’s second year of coverage (or $50 with an up-to-date immunization record).

 

Is citizenship or legal residency required?

No, but applicant must have resided in California for six continuous months at time of application.

 

Where to apply?

Call (800) 300-1031 for an application, assistance and information. California State Managed Risk Medical Insurance Board


 


(Back to the Benefits Index)

 

 

--- Cancer Early Detection Program Every Woman Counts ---

The Cancer Detection Programs: Every Woman Counts (CDP:EWC) provides free clinical breast exams, mammograms, pelvic exams and Pap tests to California’s underserved women. 

Breast Cancer Screening Information

Do you qualify for free services? You may if you:

  • are 50 years old or older
  • have low income*
  • have medical insurance that does not cover breast cancer screening
  • have a high insurance deductible or co-payment
  • are not getting these services through Medi-Cal or another government-sponsored program
  • live in California
  • July 14, 2010 update regarding the CDP:EWC Fiscal Year 2010-11 budget, which is under discussion in the Legislature: CDP:EWC is continuing no new enrollments until it is determined how much money will be appropriated to pay for breast cancer screening services in Fiscal Year 2010-11.  CDP:EWC has put on hold the biennial mammograms cost savings policy changes that were proposed to be in effect July 1, 2010 pending adoption of the Budget Act of 2010.  

    Cervical Cancer Prevention Information

    Do you qualify for free services? You may if you:

  • are 25 years old or older
  • have low income*
  • have medical insurance that does not cover cervical cancer prevention screening
  • have a high insurance deductible or co-payment
  • are not getting these services through Medi-Cal or another government-sponsored program
  • live in California
  • CDP:EWC is continuing to enroll for cervical cancer screenings.

    *2009-2010 CDP: EWC Income Criteria (PDF, New Window)

    Call 1-800-511-2300 Monday - Friday from 8:30 AM to 5 PM.

    We speak English, Spanish, Mandarin, Cantonese, Korean and Vietnamese. If you qualify, you will be referred to participating doctors in your neighborhood.

    If you don't qualify, the CDP:EWC representative for your area may know of other low-cost screening programs that might be available to you.  The Regional Contractors are also your link to support groups, advocacy groups and the latest information on what's happening in your community.

    Treatment Information

    If you are diagnosed with breast or cervical cancer:

    Free treatment is available to all Californians who qualify through the Breast and Cervical Cancer Treatment Program.  Information on this program is available on MediCal's website or call 1-800-824-0088 to speak with an eligibility specialist.

     


    (Back to the Benefits Index)

     

    --- California Children Services (CCS) Program ---

     

    What services are offered?

    • Diagnosis and treatment of CCS eligible conditions by CCS approved physicians and at CCS approved hospitals, Special Case Centers (SCC) and Medical Therapy Program (MTP).

    • Provides medically necessary care and case management to infants, children, and adolescents meeting program eligibility requirements. These include physician services, hospitalization, occupational therapy, in-home nursing services, and supplies.

    Who can be covered?

    Children under 21 years of age who have medical and disabling conditions that meet CCS eligibility criteria.

     

    Is there an income limit?

    Family income less than $40,000 (Annual, Adjusted Gross Income on State Tax Form) – OR – if out-of-pocket medical expenses for the qualified child are expected to be more than 20% of the families annual income. Services provided at a Medical-Therapy Unit (MTU) are exempt from financial eligibility requirements.

     

    Is there a property limit?

    No.

     

    Can services be received if there is other health insurance?

    Yes. (CCS only covers diagnosis and treatment of a child’s CCS eligible condition).

     

    How much does it cost?

    There may be an assessment and / or enrollment fee depending on income.

     

    Is citizenship or legal residency required?

    No. Must be a permanent resident of Santa Cruz County. If not a Santa Cruz County resident, may apply in County of residence.

     

    How to apply?

    Call Santa Cruz: (831) 454-2540 OR Watsonville: (831) 763-8900



    (Back to the Benefits Index)

     

    --- California Kids ---

     

    What services are offered?

    Benefits include medical, dental, vision, prescription drugs, behavioral health and 24-hour nurse access.

     

    Who can be covered?

    • Residents of Monterey County ONLY!

    • Be age 2 through 18 and not married;

    • Not eligible for coverage under Medi-Cal or Healthy Families;

    • Not enrolled under any private health care plan with coverage for preventative care;

    • If school age, be enrolled and attending school;

    • Each child in a family must be enrolled and the family’s income must meet specific guidelines.

    Is there an income limit?

    200% Federal Poverty Level.

     

    Is there a property limit?

    No.

     

    Can services be received if there is other health insurance?

    No.

     

    How much does it cost?

    $25 application fee, no monthly premiums required and minimal co-payments of $5 for each service and a $25 co-payment for emergency care.

    Is citizenship or legal residency required?

    No.

     

    Where to apply?

    Salud Para La Gente, 204 E. Beach St. Watsonville. Phone: (831) 728-0222

     

     


    (Back to the Benefits Index)

     

    --- California Major Risk Medical Insurance Program (MRMIP) ---

     

    What services are offered?

    Comprehensive health insurance for those who are unable to obtain coverage on the open market.

     

    Who can be covered?

    You cannot be eligible for both Part A and Part B of Medicare, unless eligible solely because of end-stage renal disease. (Being eligible for one part or the other is acceptable).

     

    Medi-Cal beneficiaries are not prohibited from enrolling, but should carefully consider the cost of the MRMIP monthly subscriber contributions.

     

    You must be unable to secure adequate coverage demonstrated by:

    • Having been denied individual coverage within the previous 12 months.

    • Having been involuntarily terminated for health insurance coverage within the previous 12 months for reasons other than nonpayment of premium or fraud.

    • If you have been offered, in the previous 12 months, an individual, not a group, health insurance premium in excess of the Major Risk Medical Insurance Program subscriber rate for your first-choice participating health plan.

    • If you are a member of a group of two or fewer (not including dependents) who has been denied health insurance coverage in the previous 12 months.

    Is there an income limit?

    No.

     

    Is there a property limit?

    No.

     

    Can services be received if there is other health insurance?

    You cannot be eligible to purchase any health insurance for continuation of benefits under COBRA.

     

    How much does it cost?

    Varies according to individual health plan choice, age, and County of residence.

     

    Is citizenship or legal residency required?

    Must be California resident.

     

    Where to apply?

    Call: (800) 289-6574

    Visit: www.mrmib.ca.gov/MRMIB/MRMIP.html

     

     


    (Back to the Benefits Index)

     

    --- Child Health & Disability Prevention Program (CHDP) ---

     

     

     

     

    What services are offered?

    • Regular complete health checkups and shots. (Based on age, entitled to 15 or more exams).

    • Temporary Medi-Cal coverage up to 60 days for qualifying children.

    What does a family need to bring to a CHDP visit to confirm eligibility?
    Families with Medi-Cal insurance must bring their insurance cards. Families that have no insurance must complete and sign a form declaring their income at the visit.

    Where can a child receive a CHDP examination?
    Most pediatricians and many family practitioners are certified CHDP providers. Often physicians or clinics have nurse practitioners or physician assistants who are CHDP Examiners. Often, families can go to their child’s usual health care provider. Call your doctor’s office to find out if the office participates in the CHDP Program. If your doctor is not certified, click on County CHDP Providers to learn the locations of certified providers.

    Who is eligible for a CHDP examination?

    • All children and youth birth through 20 years of age who are certified as eligible to receive Medi-Cal.

    • All children and youth birth through 18 years who do not have Medi-Cal but do meet the family income eligible levels described below.

    • Any child attending a Head Start or State Preschool Program who meets income edibility.

    Is there an income limit?

    Up to 200% of the FPL (see Income Eligibility Determination Table)

     

    Is there a property limit?

    No.

     

    Can CHDP services be received if there is other health Insurance?

    Yes, if insurance plan does not cover Well-Child exam or immunizations.

     

    How much does it cost?

    No Cost.

     

    Is citizenship or legal residency required?

    No.

     

    How to obtain services?

    Schedule an appointment with a CHDP doctor. Call CHDP for a list of current doctors.

     

    Where to call for more information or names of CHDP approved doctors?

    Santa Cruz: (831) 454-2560 OR Watsonville: (831) 763-8932

     

    Click here to visit the CHDP Web Page

     


    (Back to the Benefits Index)

     

    --- Family Planning, Access, Care, And Treatment (FAMPACT) ---

     

    What services are offered?

    • Comprehensive family planning services including contraceptive services.

    • Pregnancy testing, female and male sterilization, limited infertility services.

    • Reproductive health counseling and education related to contraceptive methods.

    • Counseling and education related to contraceptive methods, screening for sexually transmitted infections, as well as breast and cervical cancer.

    Who can be covered?

    Women and men who are California residents.

     

    Is there an income limit?

    Up to 200% of the Federal Poverty Level (FPL).

     

    Is there a property limit?

    No.

     

    Can services be received if there is other health insurance?

    Yes, in the following instances:

    • if they have Medi-Cal with an un met share of cost on date of service;

    • if benefits do not cover family planning services;

    • if the insurance requires a deductible that has not been met;

    • f the client's use of their other coverage would create a barrier to access because of confidentiality.

    How much does it cost?

    No cost to patient.

     

    Is citizenship or legal residency required?

    Must be a California resident, but no citizenship requirement.

     

    Where to apply?

    At participating clinics and physician offices. Call 1 (800) 942-1054 for a listing.

     

     


    (Back to the Benefits Index)

     

    --- Genetically Handicapped Persons Program (GHPP) ---

     

    The Genetically Handicapped Persons Program (GHPP) arranges and pays for medical care and rehabilitation, when authorized, for some adults and children who have inherited conditions and who are unable to pay for all or parts of their care. Some of the conditions are Cystic Fibrosis, PKU, Hemophilia, Sickle Cell Disease, and inherited diseases that may appear later in life. There is no income limit, but there may be an enrollment fee. GHPP has only one office in Sacramento to serve the entire state. 

     

    For more information, call GHPP at (800) 639-0597

     


    (Back to the Benefits Index)

     

    --- Health Insurance Premium Payment (CARE/HIPP) ---

     

    What services are offered?

    Pays health insurance premiums for family and individual policies

    For HIV positive persons for up to 12 months.

     

    Who can be covered?

    Must be disabled and unable to work full-time because of HIV/AIDS.

     

    Is there an income limit?

    Up to 250% of the Federal Poverty Level.

     

    Is there a property limit?

    Assets cannot amount to more than $4,000 (excluding one house and one car).

     

    Can services be received if there is other health insurance?

    CARE/HIPP supports participants to maintain their health insurance Coverage as they transition into Medi-Cal.

     

    How much does it cost?

    Co-payments and deductibles are not paid.

     

    Is citizenship or legal residency required?

    Must be a permanent resident of California.

     

    How to apply?

    Call The CARe Team at (831) 454-4730 or Santa Cruz AIDS Project: (831) 427-3900 or 1(800) 367-2437 



    (Back to the Benefits Index)

     

    --- PAC Advantage ---

     

    What services are offered?

    Comprehensive benefits are offered by each health plan. Subscribers make health plan choices based on cost, doctor/hospital network, level of co-payment, type of plan, and services offered by each. Additional dental plans are available.

     

    Who can be covered?

    Employees working for small employers with 2-50 full time employees may enroll. There are no restrictions based on the type of business operated, the health of the employee group or the age of employees.

     

    Is there an income limit? 

    No.

     

    Is there a property limit? 

    No.

     

    Can services be received if there is other health insurance? 

    No.

     

    How much does it cost?

    Employers should call their Independent Agent for a quote or call 1 (877) 735-5742. Rates change once a year.

     

    Is citizenship or legal residency required?

    Employer standards apply.

     

    Where to apply? 

    Call 1 (877) 735-5742.



    (Back to the Benefits Index)

     

    Medi-Cal Programs
     2001 Policy Changes for Medi-Cal and Healthy Families

    Benefits Call Center: 1-888-421-8080
    Serving ongoing Medi-Cal & Food Stamp clients
    Customer Service Guide - FAQ

     

    --- Medi-Cal For Children (Percentage Programs) ---


    What services are offered?

    • Comprehensive preventive care services, primary and specialty care.

    • Medical office visits, vision care, dental care and mental health services

    • Hospitalization and prescription medicines.

    • Guide to MCAL Programs

    Who can be covered? 

    Children up to their 19th birthday.

     

    Please visit the Champ-Net Online Eligibility Calculator for Medi-Cal/Healthy Families.

     

    Is there an income limit?  

    • Ages 0 to 1  At or below 200% of the Federal Poverty Level (FPL)

    • Ages 1 to 6  At or below 133% of the FPL

    • Ages 6 to 19 At or below 100% of the FPL

    Please download the Champ-Net Online Income Calculation Worksheet in Adobe Acrobat PDF format.

     

    Is there a property limit?

    No.

     

    Can services be received if there is other health insurance?

    Yes.

     

    How much does it cost?

    No cost.

     

    Is citizenship or legal residency required?

    Yes, for full coverage. If not a legal resident, the person may be eligible for emergency services only.

     

    Where to apply?

      Human Resources Agency

      1020 Emeline Ave.

      Santa Cruz, CA  95060


      Tel. (831) 454-4131

      Human Resources Agency

      119 W. Beach Street

      Watsonville, CA 95076


      Tel. 763-8500


    (Back to the Benefits Index)

     

    --- Medi-Cal For Families ---

     

     

     

     

     

     

     

     

    What services are offered?

    • Comprehensive preventive care services, primary and specialty care.

    • Medical office visits, vision care, dental care and mental health services.

    • Hospitalization and prescription medicines.

    Who can be covered?  

    Parents or caretakers and children up to their 21st birthday.

     

    Please visit the Champ-Net Online Eligibility Calculator for Medi-Cal/Healthy Families.

     

    Is there an income limit?  

    Free Medi-Cal is based on monthly income after allowances for child care and working expenses.

     

    Family size  Income Limit Family size  Income Limit

    1 person

    $600

    6 people

    $1417

    2 people

    $750

    7 people

    $1550

    3 people $934 8 people $1692
    4 people $1100 9 people $1825
    5 people $1259 10 people $1959

     

    Families with income above these limits may have to pay a monthly share of cost for medical services. NOTE: Other rules may apply which might allow free Medi-Cal in some cases.

     

    Please download the Champ-Net Online Income Calculation Worksheet  in Adobe Acrobat PDF format.

     

    Is there a property limit?

    Yes, depending on family size:

     

    Family size  Income Limit Family size  Income Limit

    1 person

    $2000

    6 people

    $3600

    2 people

    $3000

    7 people

    $3750

    3 people $3150 8 people $3900
    4 people $3300 9 people $4050
    5 people $3450 10 people $4200

    *(excluding principal residence and one car)

     

    Can services be received if there is other insurance?

    Yes.

     

    How much does it cost?

    The family’s share of cost depends on the amount of monthly income over the income limits shown.

     

    Is citizenship or legal residency required?

    Yes, for full coverage.

    If not a legal resident, the person may be eligible for emergency and pregnancy related services only.

     

    Where to apply?

      Human Resources Agency

      1020 Emeline Ave.

      Santa Cruz, CA  95060


      Tel. (831) 454-4131

      Human Resources Agency

      119 W. Beach Street

      Watsonville, CA 95076


      Tel. 763-8500


    (Back to the Benefits Index)

    --- Medi-Cal For Pregnant Women (Percentage Program) ---

     

    What services are offered?

    Pregnancy and postpartum related services.

     

    Who can be covered?  

    Pregnant women.

     

     

    Is there an income limit?

    At or below 200% of Federal Poverty Level (FPL).

     

    Please visit the Champ-Net Online Eligibility Calculator for Medi-Cal/Healthy Families.

     

    Is there a property limit?

    No.

     

    Can services be received if there is other health insurance?

    Yes.

     

    How much does it cost?

    No cost.

     

    Is citizenship or legal residency required?

    No.

     

    Where to apply?

      Human Resources Agency

      1020 Emeline Ave.

      Santa Cruz, CA  95060


      Tel. (831) 454-4131

      Human Resources Agency

      119 W. Beach Street

      Watsonville, CA 95076


      Tel. 763-8500


     

    (Back to the Benefits Index)

    --- Medi-Cal For Working Disabled ---

     

    What services are offered?

    This program allows disabled workers to buy into Medi-Cal health coverage by paying a monthly premium. 

    • Comprehensive preventive care services, primary and specialty care.

    • Medical office visits, vision care, dental care and mental health services.

    • Hospitalization and prescription medicines.

    Who can be covered?  

    For disabled workers meeting medical and financial criteria.

     

    What is the eligibility criteria?

    • Be disabled (according to federal standards);

    • Have net income less than 250 percent of the federal poverty level for the working disabled person and his/her spouse (or parent(s) if the working disabled person is a child);

    • Except for earnings, be eligible to receive Supplemental Security Income/State Supplementary Program (SSI/SSP) benefits; and

    • Have countable resources less than or equal to $2000 for one person or $3000 if the working disabled person is married.

    Please visit the Champ-Net Online Eligibility Calculator for Medi-Cal/Healthy Families.

     

    Is there a property limit?

    Ownership of one house, occupied by the individual, and one car will not be considered when determining the individual’s resource levels.

     

    How much does it cost?

    Premiums paid are based on monthly Total Countable Income. The Third Party Liability Branch of Medi-Cal bills the individual for the premium on the 23rd of each month.

    • An individual whose countable earned income is between $601 and $700 a month pays a monthly premium of $25.

    • A couple whose countable earned income is between $601 and $700 a month pays a monthly premium of $40.

    Can I receive personal assistance where I work?

    Yes. You may be eligible to receive personal assistance through Medi-Cal's In-Home Supportive Services (IHSS) program. Ask about this service when applying.

     

    Is citizenship or legal residency required?

    No.

     

    More information?

    For more information about this benefit program click here

     

    Where to apply?

      Human Resources Agency

      1020 Emeline Ave.

      Santa Cruz, CA  95060


      Tel. (831) 454-4131

      Human Resources Agency

      119 W. Beach Street

      Watsonville, CA 95076


      Tel. 763-8500


    (Back to the Benefits Index)

     

    --- Medi-Cal For Adults ---
    2001 Policy Changes for Medi-Cal and Healthy Families

     

    What services are offered?

    • Comprehensive preventive care services, primary and specialty care.

    • Medical office visits, vision care, dental care and mental health services.

    • Hospitalization and prescription medicines.

    Who can be covered? 

    Persons age 65 or older, legally blind or disabled by Social Security standards.

     

    Is there an income limit? 

    Free Medi-Cal is based on family size and income after allowances for health insurance and working expenses:

     

    1 Adult $908

    2 Adults $1226

     

    Persons with income above these limits have to pay a monthly share of cost for medical expenses.

     

    Is there a property limit?

    Yes, depending on family size excluding principal residence and one car:

     

    1 Person $2,000 (with assets/property)

    2 Persons $3,000

     

    Can services be received if there Is other health insurance?

    Yes.

     

    How much does it cost?

    The person’s share of cost depends on the amount of monthly income over the income limits shown above.

    Is citizenship or legal residency required?

    Yes, for full coverage.

    If not a legal resident, the person may be eligible for emergency and pregnancy

    related services only.

     

    Where to apply?

      Human Resources Agency

      1020 Emeline Ave.

      Santa Cruz, CA  95060


      Tel. (831) 454-4131

      Human Resources Agency

      119 W. Beach Street

      Watsonville, CA 95076


      Tel. 763-8500


    (Back to the Benefits Index)

     

    --- Confidential Medical Services 

    Available To Persons Under 21 Years Of Age

    Medi-Cal/Minor Consent Program ---

     

    What services are offered?

    • Confidential medical services regardless of citizenship or immigration status, for the following:

    1. Sexual assault

    2. Pregnancy or family planning

    3. Sexually transmitted diseases

    4. Drug or alcohol abuse

    5. Outpatient Mental Health

    Who can be covered?  

    Persons under 21 years of age.

     

    Please visit the Champ-Net Online Eligibility Calculator for Medi-Cal/Healthy Families.

     

    Is there an income limit?  

    Yes, one person, $600 a month to poverty level of 200%.

     

    Please download the Champ-Net Online Income Calculation Worksheet in Adobe Acrobat PDF format.

     

    Is there a property limit?

    Yes, $2,000 for one person.

     

    Can services be received if there is other health insurance?

    Yes, other insurance does not have to be submitted.

     

    Is citizenship or legal residence required?

    No

     

    Where to apply?

      Human Resources Agency

      1020 Emeline Ave.

      Santa Cruz, CA  95060


      Tel. (831) 454-4131

      Human Resources Agency

      119 W. Beach Street

      Watsonville, CA 95076


      Tel. 763-8500


    (Back to the Benefits Index)

     

    --- Long Term Care Medi-Cal ---

     

     

     

     

    What services are offered?

    • Skilled or intermediate Nursing Home and Convalescent Care as well as:

    • Comprehensive preventive care services, primary and specialty care.

    • Medical office visits, vision care, dental care and mental health services.

    • Hospitalization and prescription medicines.

    Who can be covered?

    Persons in long term care facilities.

     

    Is there an income limit?  

    No, but recipients pay a monthly share of cost based on income after allowing a deduction for health insurance premiums and certain limited other expenses.

    A spouse living at home, who is not on Medi-Cal, is allowed to retain over $2049 in family income per month. (Changes annually in January).

     

    Is there a property limit?

    • Yes, the person in the nursing home may keep up to $2000 in property.

    • A spouse living at home, who is not aided on Medi-Cal, is allowed to retain up to $84,120 in family assets.

    Can services be received if there is other health insurance?

    Yes.

     

    How much does it cost?

    Patients pay a share of cost based on income after allowing a deduction for health insurance premiums and certain limited other expenses.

     

    Is citizenship or legal residency required?

    Yes, for full coverage.

    If not a legal resident, the person may be eligible for emergency services only.

     

    Where to apply?

      Human Resources Agency

      1020 Emeline Ave.

      Santa Cruz, CA  95060


      Tel. (831) 454-4131

      Human Resources Agency

      119 W. Beach Street

      Watsonville, CA 95076


      Tel. 763-8500


    (Back to the Benefits Index)

     

    Medi-Cal For Persons With Tuberculosis (TB)

    What services are offered?

    • Medical Office visits

    • Prescription medicines

    Who can be covered?
    Persons who have been diagnosed with tuberculosis

    Is there an income limit?  
    At or below 200% of Federal poverty Level (FPL)

    Please download the Champ-Net Online Income Calculation Worksheet in Adobe Acrobat PDF format.

    Is there a property limit?
    No

    Can services be received if there is other health insurance?
    Yes

    How much does it cost?
    No cost

    Is citizenship or legal residency required?
    No

    Where to apply?

      Human Resources Agency

      1020 Emeline Ave.

      Santa Cruz, CA  95060


      Tel. (831) 454-4131

      Human Resources Agency

      119 W. Beach Street

      Watsonville, CA 95076


      Tel. 763-8500


    (Back to the Benefits Index)

     

    --- Medicare ---

    Medicare "Help is Here" Prescription Rx Resource Kit

     

     

     

     

    What services are offered?

    • Part A (Hospitalization).

    • Part B (Outpatient).

    Who can be covered?

    Persons eligible to receive Social Security or Railroad Retirement benefits due to age (65 years or older), disability or blindness who have received Social Security for at least 24 consecutive months, chronic renal disease.

     

    Is there an income limit?

    No.

     

    Is there a property limit?

    No.

     

    Can services be received if there is other health insurance?

    Yes.

     

    How much does it cost?

    • Premium for Part B ($45.50 in 2000).

    • Deductibles and co-payments.

    (State will pay premium if beneficiary also receives Medi-Cal).

     

    Is citizenship or legal residency required?

    Yes.

     

    Is there a web site to learn about Medicare?

    Yes. www.medicare.gov or www.kff.org

     

    Where to apply?

    Social Security Administration

    Call toll free 1-800-772-1234 or

    169 Walnut Ave., Santa Cruz

    (831) 426-8111

    -OR-

    315 Main Street, Watsonville

    (831) 722-7141

     

     


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    --- Medicare Reimbursement Programs ---

     

    What services are offered?

    The government pays part of all of your Medicare premium based on your income.

     

    Who can be covered?

    Medicare beneficiaries entitled to receive Part A Medicare.

     

    Is there an income limit?

    Up to 175% of the Federal Poverty Level (FPL).

     

    Is there a property limit?

    Yes, depending on family size:

     

    1 Person $4000 2 Persons $6000

     

    Can services be received if there is other health insurance?

    Yes.

     

    How much does it cost?

    Nothing.

     

    Is citizenship or legal residency required?

    Yes.

     

    Where to apply?

    Call toll free for an application: 1-(800)-952-8627.

     

      


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    --- MediCruz ---

     

    What is the MediCruz program?

    MediCruz is a County of Santa Cruz managed health care program of last resort for the uninsured residents of Santa Cruz County. If you have private health insurance or are eligible for any other public health benefit program such as Medi-Cal (including PRUCOL) or Medicare you will be required to apply for them instead of MediCruz.

     

    What services are offered?

    MediCruz provides financial assistance for medical care for qualifying medical conditions, with limited pharmacy services based on the MediCruz formulary (no generic drugs available), laboratory services, and x-ray services. 
    Click here for services that are not covered by MediCruz.
    Services are covered for a limited period specific to the treatment of the qualifying condition. Clients are expected to renew their application every two to three months depending on medical condition. 

    What are the requirements for MediCruz eligibility?

    • Must be a current permanent resident of Santa Cruz County and provide proof of residency. 

    • Must be between the ages of 19-64 years old. 

    • Must have a current medical need that is covered by the program. These are subject to medical review. 
      Click here for
      list of medical conditions that are not covered by MediCruz.

    • Income cannot exceed 100% of the Federal Poverty Level guideline. An applicant with a monthly income over 100% Federal Poverty Limit ($931 for one person) is ineligible for MediCruz.

    • If you have private health insurance, Medicare or Medi-Cal you are not eligible for MediCruz

    • If you have a work-related injury you must file for worker’s compensation. 

    • If you have an injury from an auto accident you must file a claim against your auto insurance and the other car owner’s insurance if appropriate. 

    • Income tax returns, pay stubs, and bank account statements are required. 

    • Eligibility workers will require verification of various information during the eligibility interview.

    Are there MediCruz co-pays or share of cost?
    MediCruz clients are required to pay:

    • $12 co-pay for office visits

    • $4 co-pay per prescription

    • $45 Emergency Department visit co-pay

    • $15 retinal eye scan co-pay, and others as approved by the Board of Supervisors.

    MediCruz clients might also have to pay a share-of-cost based on their income.

    What is the difference between MediCruz and Medi-Cal?

    Medi-Cal is a statewide program to provide health coverage to people eligible for welfare benefits (have minor children in the home with an absent or incapacitated parent). It also is for people who are pregnant, under 21 or over 65, blind or disabled. MediCruz is a local program to assist low-income individuals not eligible for Medi-Cal.

    Are there citizenship or residency requirements?
    A non-citizen applicant who does not have permanent residency status can apply for MediCruz for primary care services ONLY (no emergency care). Regardless of citizenship/residency status, all applicants must be permanent Santa Cruz County residents

    Where do I apply for MediCruz?
    You can for apply for MediCruz at either of the two County health care clinics. Eligibility workers are available on a first come first serve basis. Click here for list of what verification documents you must bring in to apply. 

      Santa Cruz Health Center

      1080 Emeline Ave. Room 101

      Santa Cruz, CA  95060


      Eligibility Hours:

      Monday thru Friday

      8:00 - 12:00 PM

      1 - 5 PM

       

      Tel. (831) 454-4070

      Watsonville Health Center

      9 Crestview Dr.

      Watsonville, CA 95076


      Eligibility Hours:

      Monday thru Friday

      8:00 - 12:00 PM

      1 - 5 PM

       

      Tel. (831) 763-8033

    Did you know there are many programs that provide prescription medicine for free?
    The Medicine Program
    * Please note "The Medicine Program"  is not affiliated with the County of Santa Cruz Health Services Agency and is provided here for informational purposes only. 

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       Mailing Address: County of Santa Cruz  Health Services Agency
       1080 Emeline Avenue, Santa Cruz, CA 95060 | Phone: 831 454 4000 | Fax: 831 454 4770
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